Cathy Cress

Expert in Aging Life and Geriatric Care Management

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My DAD’s PTSD – Support Biden’s Infrastructure Plan Rebuilding VA Hospitals

May 24, 2021

 

Stalag-VII-A Moosburg Bavaria

My father was held in a prison camp during World War II. He was an officer and his camp only housed the higher ranks. He never spoke about the war. He was a World War II navigator shot down in Poland and transferred to Stalag-VII-A Moosburg Bavaria.  He returned home a broken man with PTSD, never took a bus, drove or flew on a plane again. His disability, like so many vets was untreated for 50 years. He worked as an advertising agent ala Mad Men and drank like Don Draper. Our family crumbled into a dysfunctional maelstrom, as most families do. Literally saved by the Palo Alto VA GRECC Program in his late 60’s, he lived a very good life with my family for his last 25 years.

He never sought VA  treatment for his severe PTSD for for 5 decades.

VA Hospital Changed My Dad’s Life After 50 years of Untreated PTSD

.When he came to live with me, after my brother and mother’s death, I got him enrolled in the VA and the incredible  GRECC  Program and he was treated at the  Menlo Park VA Hospital Menlo Park Division (MPD) campus where they  provide a  broad range of Veteran services, including a National Center for Post-Traumatic Stress Disorder and San Jose VA Hospitals  for the rest of his life.

They turned his life around and made his last 2r years joyful ,mentally and physically health, plus allowed him to die at home through the  VA Homemaker and Home Health Aide Program

 The VA Hospitals  where he was treated do not need renovation but many many VA hospitals are falling apart.This led me to write an entire chapter in the 4th Edition of Handbook of Geriatric Care Management to help care managers to navigate through the VA.

Biden To Liberate $ to Rebuild aging VA Hospitals

President Joe Biden’s infrastructure plan includes $18 billion to upgrade and replace aging Veterans Affairs hospitals, but the agency needs five times that much to bolster facilities and medical staff, a Democratic lawmaker said on Thursday.

Mark Takano, chairman of the House of Representatives Veterans’ Affairs Committee told reporters   , the VA’s 1,700 hospitals, clinics and medical facilities had a median age of 58 years, compared with just 11 years for private hospitals in the United States, he said, noting that 69% of VA hospitals were more than 50 years old.

Support Biden’s Infrastructure Plan to help caregivers and rebuild the VA

The infrastructure package, which must be approved by Congress, would also help the roughly 200,000 veterans who leave military service each year to transition to civilian jobs, and boost funding to help the estimated 2.5 million veteran-owned small businesses, officials said.

As so many geriatric care managers and Home care agencies serve aging Vets , take this memorial day to contact your congressman and senators to support Biden’s infrastructure plan , to help rebuild the crumbling VA hospitals,which is now going to The Senate after being passed in the House. The Senate republicans are not going to allow it into law. Support this plan with it caregiver infrastructure Plan, so that you have more resources to help your aging clients.

 Connect with Cathy Jo Cress MSW

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Filed Under: Aging, Biden Infrastructure Bill Passing, Biden's VA Infrastructure Bill, Blog, COVID-19 VA deaths, Dysfunctional aging family, Emergency Plan, Geriatric Care Management Business, Geriatric Care Manager, Memorial Day, Memorial Day and Aging Veterans, National Veterans Legal Aid Group, VA benefits and geriatric care management, VA Benefits PTSD, VA Caregivers, VA GRECC Program, VA Home Care, VA Hospitals crumbling, VA PTSD, Veterans Administration, Written Geriatric Assessment Tagged With: aging life or geriatric care manager, aging parent care, aging parent crisis, Biden's VA Infrastructure Plan, COVID-19 VA Facilities, geriatric care manager, GRECC Program, Memorial Day, Memorial Day WWII Vets, National Center for PTSD, nurse advocate, nurse care manager, PTSD adult children, PTSD Family Caregivers, PTSD in Vets World War II, Stalag VII A Moosburg Bavatia, VA Homemakers Health Aide

The 2 Deadliest US Sites of COVID-19 Nursing Homes & Prisons

May 2, 2020

PRISON INMATES AND NURSING HOME PATIENTS NOT  6FT APART – 6 FEET UNDER

70% of inmates in federal prisons have COVID-19.  In Kansas, the Lansing Correctional Facility had a riot of inmates over COVID-19 lack of care or protection  It took the rebellion to get the coronavirus testing PPE and care. The  Bureau of Prisons in Kansas confirmed finally that 79 staff have coronavirus and 88 prisons and prisoners dead.   

Older residents in nursing homes cannot rebel like prisoners. Many can’t even walk. The Atlantic Magazine just published an article, We are Killing Elders Now. The writer states “In at least six states, these fatalities account for half of all COVID-19 deaths, and according to the World Health Organization, half of all coronavirus fatalities in Europe have been traced to nursing homes too. Some of this mortality is linked to long-term-care facilities that are shoddily run or that violate health standards. But most of them are doing the best they can with what they have. And they don’t have much”.

KAISER FOUNDATION NURSING HOME STAFFING AND USE OF PPE NOT REQUIRED IN MOST STATES

Kaiser reports -Staff Screening. It is more common for states to recommend rather than require daily screening of staff for illness in NFs (24 states recommend, 16 states + DC require)

Use of PPE. More states recommend (23 states) than require (7 states + DC) staff to use PPE

 Two States that require testing for coronavirus of ALL  residents of nursing homes are  Maryland where 556 have died as of the Washington Post article. and Tennessee 

THE FEDS HAVE NO CMS FEDERAL GUIDELINES OR REPORTING

We have no federal guidelines for safety testing according to an article by the Kaiser Foundation

It is now estimated that 16,000 deaths have occurred in nursing homes and that is without the federal government revealing any numbers and not making available any testing. But the numbers are probably huge- if we could just do testing. 

CMS announced it would have a meeting of a “panel” of experts “ sometime at the end of May”. After probably 20,000 older people died and the feds did nothing this shows their sense of urgency about this pandemic’s national “elder cleansing”.

WHAT CONNECTS PRISONS AND NURSING HOMES – CONCENTRATION CAMPS

So, what is the connection between the viral spread of COVID-19 in nursing homes and prisons- 6 feet ? Prisoners and residents, in nursing homes, and prisons cannot social distance. Jails and prisons have human beings crammed together with no choice. Nursing homes have 2 beds or if you are on Medicaid three to a room. Neither group has a choice to social distance. They are ” concentrated” as in concentration camps or death camps.

Do SOMETHING – HELP NURSING HOMES PREVENT MORE CARNAGE

So, as someone who has spent her career in aging, I am calling out to everyone, especially professional in aging – do something. Since the feds appear to be doing little- call your congressman, write a letter to the editor.

BE KIND LIKE RACHEL MADDOW REPORTS LA JEWISH HOME LA WAS

Rachel Maddow suggests calling your local nursing homes and see what they need. Be kind like the LA Jewish Home was to a smaller nursing home LA Brier Oaks. They wanted to test their residents and had no tests and the larger LA Jewish Home had tests and shared them with the smaller as a good neighbor. What they found was ravaging but it also showed caring and generosity. Care and be generous and show the helpless elders in nursing homes in your town you are opposed to -nursing home being prisons or concentration camps.

Filed Under: 4th of july, 7 touches marketing, adult child physical abuse, Adult children, adult emotional abuse, ADULT SIBling, Aging, Aging Alcohol Abuse, Aging Community & Covid-19, Aging deaths, Aging Family, aging family crisis, aging life business, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Aging therapist, ALCA & Skilled Nursing Facility, ALCA Beneifits, ALCA business Loans, ALCA Cobtract, ALCA COVID-19 Crisis, ALCA Disaster Plan, ALCA Ethical Dilemma, ALCA Financial literacy, ALCA Products for COVID_19, ALCA sales, Alcohol Abuse and Aging, Angela Jolie, Aretha Franklin, Assisted Living, Assisted Living & Geriatric Care Managers, Assisted Living Crisis, Assisted Living sales, bankruptcy, Barack Obama, Benefits, Benefits of ALCA to Hospice, Benefits of Care Management, Benefits of Care Management to Hospice, Benefits of Geriatric Care Management, Benefits vs Features, Benifits & Assisted Living, Bill Clinton, billing, Billing 85%, billing 85% of GCM 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Why Phyllis Brostoff Says You Should Get a D on Your Written Geriatric Assessment

January 16, 2020

How To Score an A Writing a Geriatric Assessment

A written Geriatric assessment is the toughest skill a care manager can have in their toolbox. You want your A-game because they frequently go to elder law attorneys who submit them to court in conservatorship or guardianship lawsuits. As evidence, they must be perfect. You the care manager pull all your other skills of assessment, care planning, investigation of a case to find the right solution for the clients and objectivity. Plus what is not taught in gerontology classes – writing skills.

Phyllis Brostoff a legendary now retired geriatric care manager an ALCA board member taught this skill and published it in the Handbook of Geriatric Care Management in the Geriatric Assessment. Here is both how you might garden a D or even a flaming F and how to present that attorney your A-game.

WHAT ARE THE BIGGEST ERRORS GCM MAKE IN WRITING A GERIATRIC ASSESSMENT?

  • Sloppiness: not enough information is gathered, or used to evaluate problems
    • You are a detective and need to gather all the information (clues about the case in the beginning). This means talk to all family members, friends, formal supports,  to understand what are all the problems and how will you evaluate them. This includes using all assessment tools and gathering all records, medical, hospital, etc.

 

  • Errors: questionable information, information not checked–

 

  • One daughter says her father is confused and needs her care– not a paid caregiver. Another daughter says that the first daughter has taken financial advantage of the client by withdrawing money from Dad’s bank and should not be the care provider. You do not check the father’s bank account to see that the daughter has made withdrawals for her father’s accounts, which she has.

 

  • Poor spelling, grammar, sentence structure

 

  • Even though your geriatric assessment has every section included and fully filled out, with your care plan and logical conclusions well stated and correct, with perfect recommendations —if you used poor spelling and grammar, the family or attorney will discount it because of your poor writing presentation.
  • Poor organization of information.
    • For example, don’t put information about the client’s depression in the Home Management section of your geriatric assessment. Mrs. Typhoon feeling depressed does not go in the home safety section. Do not commingle sections. Write a tight outline, follow it, and make your written assessment cohesive.

 

 

  • Conclusions based on assumptions, not facts

 

  • Make sure your facts are presented clearly. In Mrs. Typhoon’s geriatric assessment, you would not say Problem: Mrs. Typhoon suffers from anxiety, based on your visit where you charted.” Ms.Typhoon looked full of anxiety.” You would state, “When visiting Mrs. Typhoon on November 1, 2026, Mrs. Typhoon stated to the GCM that she very anxious and wanted to take more of her Xanex.” GCM checked with Dr. Feelgood and he said she is taking 10mg of Xanax as needed.

 

  • Lack of coherence between problems, solutions offered in recommendations
  • Your geriatric assessment must lead to coherence between solutions and problems. At the beginning of Mrs. Typhoon’s geriatric assessment, her daughter Ms. Tornado wanted you to find out why her mother had multiple falls, and what level of care her mother belonged in. You state she has fallen five times and needs a walker but never state where she falls, which is going down the steps to the laundry room or offer a solution which could be a care provider do the laundry or moving to a single floor dwelling or both.

 

  • Recommendations incomplete: no or not enough choices offered, no argument put forth to guide decision-making
    • Recommendations in Ms. Typhoon’s geriatric assessment are incomplete. As stated above

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Filed Under: Aging, Blog, Care Plan, Families, Geriatric Assessment, Geriatric Care Management Business, Geriatric Care Manager, Webinar, Written Geriatric Assessment Tagged With: aging life care manager, care manager, eldercare manager, Geriatric Assessment, geriatric care manager, nurse care manager

Afraid of Your Competition ??-You Can Learn How to Position Your Business From Them

January 14, 2019

 

Your competitors can show you how to position your business so you stand out from the competition. Positioning is how you make clients in your area choose you over others in the area you serve. Your ALCA or Care management competition survey, ( which should so yearly by getting a mystery shopper). The Trump administration says there are lots of people out there be a mystery shopper since he shut the government down. These mystery shopper calls ( the coast guard or your staff) let you identify and survey other direct GCM competitors like the area agency on aging which may have a GCM arm or for-profits like accountants or elder law attorneys who include geriatric care management in their service mix.

Identify substitute providers like hospitals, often through their home health services.   These can also be part of your competition to take market share from you. Private duty home care agencies offer geriatric care management to their web site. But you have to discover whether they have a certified aging life geriatric care manager as part of their staff. Tracking this down takes having a secret shopper calling all of these agencies and talking to the actual geriatric care manager and asking for their credentials, prices, services, and many more variables.

Professional Patient advocates in your area should also be tracked as possible competitors.

Non-profits often spin off for profit geriatric care management arms to help with the more needy clients they serve. Many religious denominations have geriatric care as a choice so you can learn how they are leveraging their brand. Area Agencies on Aging offer private geriatric care management and can do a good job of leveraging their respect and brand in the community.

Trust departments or wealth management services can have care management to assist with their elderly clients or the adult children in wealth management, who care for their parents.

All these competition surveys will show you marketing/positioning alternatives in your this competitive landscape. They will show how to better brand and shape your branding message- so you are the top choice of customers.

Find out how you can position your own GCM/ALCA  agency, over your competition and be chosen by clients seeking care for loved ones.

Join me in my new FREE Webinar
Learn to Market Like Your Business Depended on it!
When: January 23, 2019
2PM-3PM PST
Learn

How to position your agency so it stands out from your competitors
How to develop or rewrite a strategic marketing plan in 2019 that brings more customers
How to use branding to build positive gut feelings about your agency
How to develop lead generation and tactics through third parties
How to set up leads generation with both a speakers bureau to do co-presentations & join the rubber chicken circuit to reach adult children and targeted audiences:
•
• Sign -Up –

Filed Under: Adult children, ADULT SIBling, Aging, Aging Family, aging family crisis, aging life business, Aging Life Care, aging life care manager, Blog, brand, branding, care management market sizing, care management start-up, care manager, case manager, competition survey, Concierge aging clients, Concierge Client, Concierge Senior, elder care manager, Families, GCM Start -Up, Geriatric Care Management Business, geriatric care manager, Geriatric Care Manager, geriatric social worker, Hurricane Irma, Hurricane Maris, ife care manager, inquiry call, Intake, Intellectual Quality of Life, John Mc Cain, Jose, Late Life remarriage, LGTB elders, Long Distance Care, marketing, Marketing 4P's, Marketing aging life care, marketing ALCA /GCM, marketing care management, Marketing plan, marketing to concierge clients, marketing to long distance adult children, marketing to the top 10$, Mission, Narcissistic Personality, Nearly Normal Aging Family, News, nurse advocate, nurse care manager, Nursing home abuse, Nursing Home disaster plan, Oral History, Palliative care manager, patient advocate, Poor Nursing home staffing, positioning, postioning, Private Duty Home Care, Quality of Life, Quality of Life for elders, Quality of Life in Dying, Quality of Life with Dementia, Reminiscence Therapy, Respect, SIBLING, sibling rivalry, sibling sharing care, Siblings, Social Media, Social Media for Care managers, Social Media for eldercare, Speaker's Bureau, Spiritual Quality of Life, Stepmonster, Sweetheart scam, Thanksgiving, Thanksgiving Parent crisis, Third Party Referral, Timeline, Town Hall, Transgender Elders, Trust Officer, Wealth Management Departments, Webinar, Written Geriatric Assessment Tagged With: aging family, aging life care manager, care manager, case manager, competition survey, geriatric care management, geriatric care manager, nurse care manager

Free Webinar on 5 Steps to Reach Concierge Care Management Clients

July 5, 2017

Donna-Love.jpg

Well-heeled seniors, according to the New York Times, may be middle-class retirees who buy shoes from Payless but have a defined pension where that allows them to afford care at home when they need it and private care management. They rode the postwar economy, held jobs long term and through that defined pension (no 401K) face a very healthy financial picture in aging.  They worked for city, county, state government are teachers, truck drivers, social workers or were union members in all trades. They had a career at Xerox, IBM, Campbell Soup and big Fortune 500 companies.

These middle-class concierge clients will really shop around and want the best service and seamless points of the compass that an aging life or geriatric care manager can give each client. So you still have to deliver high-quality services 

An aging life or geriatric care manager must still use different branding, marketing approach and hyper- attention to seamless care to find these middle-class concierge clients who are affluent clients who can afford their services long term.

This niche market within a market will be careful shoppers, as they have lived frugal lives before retirement, so beyond great services , have a great intake process, perfect elevator pitch and give them care management products not “peace of mind” and assessment.

Find out more in my webinar Learn The 5 Steps to Reach the Concierge Client

Sign up  for my new free webinar 

Join me for my newest free Webinar

 How to Make a Profit Serving the Older Concierge Clients,

August 23, 2017h 11:00 -12:00 PST

Discover how to transform your GCM entrepreneurial dream into a profitable reality with 5 key marketing steps

Learn more and get the details   

Reach this target audience

Design products that exactly meet their needs

Obtain adult children’s buy-in           

Use words that will make them choose you

Get the contract signed with ease

 

Filed Under: Aging, care management market sizing, case manager, elder care manager, Families, GCM Start -Up, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, nurse advocate, nurse care manager, Webinar, Written Geriatric Assessment Tagged With: aging concierge Clients, aging life care manager, care manager, case manager, eldercare manager, free webinar, geriatric care manager, nurse advocate, nurse care manager

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